RUSSELL WADE MCCULLOUGH

LEES SUMMIT, MO
NPI1346223468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: MO  2001006773)
Enumeration Date2005-11-22
Last Update Date2007-07-08
Business Address
Dr. RUSSELL WADE MCCULLOUGH DO
3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064-2357
Phone number: 816-251-1200
Mailing Address
Dr. RUSSELL WADE MCCULLOUGH DO
3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064-2357
Phone number: 816-251-1200